Debra Ann Mayne

Primary specialty

Nurse's AideTaxonomy code 376K00000X

License

401621810314 Issued in OH

Practice address

3716 Edgewater Dr
Vermilion, OH 44089-2226

Phone

(440) 823-9513

Fax

(440) 963-7915

NPI assigned

May 8, 2019

Last updated

May 8, 2019By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1557273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557273600000",
    "number": "1922663517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3716 EDGEWATER DR",
            "city": "VERMILION",
            "state": "OH",
            "postal_code": "440892226",
            "telephone_number": "440-823-9513",
            "fax_number": "440-963-7915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3716 EDGEWATER DR",
            "city": "VERMILION",
            "state": "OH",
            "postal_code": "440892226",
            "telephone_number": "440-823-9513",
            "fax_number": "440-963-7915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAYNE",
        "first_name": "DEBRA",
        "middle_name": "ANN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-05-08",
        "last_updated": "2019-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "OH",
            "license": "401621810314",
            "primary": false
        },
        {
            "code": "376K00000X",
            "taxonomy_group": "",
            "desc": "Nurse's Aide",
            "state": "OH",
            "license": "401621810314",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kendra Martin
• Darlene Rae Martincak
• William Albin Matijasic, DC
• Jenna B Matso
• Jennifer Marie Maynard
• Domonique McAllister
• Rebecca Jean McClain, PTA
• Kayla Ann McCroskey, STNA
• Thomas McFarland
• Charyse M McMillion, D.O.

• Nurse's Aide in Vermilion, OH
• Providers in Vermilion, OH by specialty
• Nurse's Aide in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.